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- ...around the world. Organizations infrastructure and culture is amazing. Best place!!Job DescriptionJob Title: Health Payer Technology Medicare ConsultantJob Level: Senior Level Job Description: THIS IS WHAT YOU WILL DO... You will be adapting existing methods and procedure...Suggested
- ...Medicare SME- Payment Integrity Analyst This resource will implement a process to test end-to-end common Medicare Advantage leakage scenarios across multiple Medicare service categories to rapidly determine whether any common issues are relevant at Client NC. TriZetto...SuggestedRemote work
RIT Solutions
United States3 days ago - ...Program Analyst GDIT is hiring a Program Analyst to support the CMS Medicaid Integrity Institute (MII) mission. As a MII Program Analyst... ...do at GDIT will be impactful to the mission of the Centers for Medicare and Medicaid Services (CMS). You will play a crucial role in...SuggestedWork experience placementWork at officeRemote workWork from homeFlexible hours
General Dynamics
United States4 days ago - ...Senior Administrative Analyst The Butte County Behavioral Health Department is seeking a Senior Administrative Analyst with the ability... ...work review for our medical billing team, including Medi-Cal, Medicare, Insurance and Private Pay billing for Mental Health and...SuggestedContract work
GovernmentJobs.com
Oroville, Butte County, CA2 days ago - ...will apply for other labor markets outside of NCALOverview:The Risk Adjustment Operational Analytics leadership is seeking a Data Analyst to scope, deploy, and report on projects supporting prospective and retrospective risk adjustment initiatives. This pivotal role will...SuggestedWork experience placement
- ...(primarily state Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45+ years of experience assisting... ...and Primary DutiesWork with a multi-disciplinary team of other analysts and clinical staff in performing analysis of health-related and...SuggestedWork experience placementWork at office
- ...Senior Administrative Analyst This classification is scheduled to receive a wage increase of 5% in July of 2027. The Butte County... ...work review for our medical billing team, including Medi-Cal, Medicare, Insurance and Private Pay billing for Mental Health and Substance...SuggestedContract workFor contractorsWork at officeLocal area
Butte County
Oroville, Butte County, CA3 days ago - ...NCALOverview:The Market Performance team is seeking a Data Reporting Analyst III to play a strategic role in ensuring risk adjustment completeness and accuracy and driving financial performance across Medicare Advantage, ACA, and Medicaid government programs. This pivotal...SuggestedWork experience placement
$22.78 - $29.62 per hour
...e. BO, HIM and ADT for resolution of third party payer billing disputes. Additionally, resolves CCI edits as appropriate, reviews Medicare intermediary and other third party payer bulletins to keep current on billing requirements and APC payment status and changes. Communicates...SuggestedFull timeRemote workShift workLee Health
United States3 days ago$22.78 - $29.62 per hour
...e. BO, HIM and ADT for resolution of third party payer billing disputes. Additionally, resolves CCI edits as appropriate, reviews Medicare intermediary and other third party payer bulletins to keep current on billing requirements and APC payment status and changes. Communicates...SuggestedFull timeRemote workShift workLee Health
Fort Myers, FL4 days ago- ...(primarily state Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45+ years of experience assisting... ...justice or related fieldMyers and Stauffer is seeking a Staff Analyst (entry level to a few years of experience) to join our multi-disciplinary...SuggestedInternship
$77.42k - $103.75k
...Butte County Behavioral Health Department is seeking a Senior Administrative Analyst with the ability to lead trainings and work review for our medical billing team, including Medi-Cal, Medicare, Insurance and Private Pay billing for Mental Health and Substance Use...SuggestedFull timeContract workTemporary workFor contractorsWork experience placementWork at officeLocal areaImmediate startFlexible hoursButte County, CA
Oroville, Butte County, CA1 day ago$35.16 - $54.5 per hour
...factors. Position Highlights: Position: Reimbursement Analyst, Senior Location: Arlington Heights, IL Full Time/Part Time... ...in-depth analysis of healthcare reimbursement data, including Medicare, Medicaid, to identify trends, opportunities, and discrepancies...SuggestedHourly payFull timePart timeFor contractorsMonday to FridayFlexible hoursNorthshore
Arlington Heights, IL4 days ago$97.9k - $133.5k
...part of our caring community The Senior Epic Configuration Analyst will support Utilization Management (UM) and Long-Term Services... ...be required ~ Minimum 2 years of experience in healthcare, Medicare, or Medicaid environments. ~1 or more years of experience...SuggestedFull timeTemporary workFor contractorsApprenticeshipCasual workWork at officeRemote workWork from homeHome officeMonday to FridayHumana
United States4 days ago- ...Epic OpTime Or, Anesthesia Inc. Sedation & Perfusion Analyst Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical... ...a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS). Education ~ Bachelor's Degree...SuggestedWork at office
Jupiter Medical Center
Jupiter, FL2 days ago $78k - $153k
...of the pay range Focused on HMSA's Government Programs plans (Medicare, Medicaid, ACA), extracts data from multiple internal and external... ...accuracy and efficiency of revenue analysis. Mentors junior analysts and may be assigned project lead requiring some resource planning...Full timeWork experience placementWork at officeHMSA
Honolulu, HI1 day ago- ...commitment to faith and service. The Clinical Research Coverage Analyst plays a critical role in supporting clinical research... ...position serves as the institutional subject matter expert for Medicare Coverage Analysis (MCA), qualifying clinical trial (QCT/QTC) determinations...Work at officeLocal area
Saint Louis University
Saint Louis, MO1 day ago - ...faith and service.****JOB SUMMARY**The Clinical Research Coverage Analyst provides education and training to the clinical research... ...promotes and supports accurate billing practices to be compliant with Medicare and third-party payment rules. Additionally, this position...Work experience placementLocal area
Saint Louis University
Kansas City, MO2 days ago - ...is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicaid and CHIP Services(CMCS). As a Social Science Research Analyst, GS-0101-13, you will develop and use surveys, market research, and statistical...
Centers-For-Medicare-and-Medicaid-Services
Denver, CO1 day ago $100k - $140k
...Senior Data Analyst Location: Nashville, TN or Remote Salary: $100,000 - $140,000 About Healthpilot: Healthpilot is an AI-enabled Medicare brokerage on a mission to help people find the right plan and then get the most out of it. We combine a personalized...Remote workHealthpilot Technologies LLC
United States2 days ago- ...operations in the United States, Canada, China, India, Mexico, the Netherlands, and the United Kingdom. Primary Function The Lab Analyst is responsible for preparing and analyzing environmental samples using established analytical methods in accordance with EPA...Full timeTemporary workLocal areaWorldwide
A.O. Smith
Appleton, WI3 days ago - ...Description Summary: The Application System Analyst II serves as a liaison between system end-users (customers), operational leaders, additional support resources and vendors to design, build and optimize their assigned applications in a timely and high-quality manner...Full time
Christus Health
Irving, TX6 hours ago - ...Job Title Candidate should have strong health care domain experience and should have good knowledge of Medicaid and Medicare. Candidate should have hands-on experience on claims processing and adjudication processes. Must have good experience in reference code...Remote work
The Dignify Solutions, LLC
United States1 day ago $30.14 - $45.21 per hour
...Business Service Center Department: 1006210 REVENUE INTEGRITY - EH SS Job Description: The Senior Revenue Integrity Analyst – Charge Build/Foundation serves as the enterprise subject matter expert for charge configuration, Epic build integrity, and chargemaster...Full timeWork at officeRemote workWork from homeFlexible hoursShift workWeekend workEssentia Health
Duluth, MNa month ago- ...-10 codes are documented for the assignment of valid and accurate HCCs for each record reviewed for submission to the Centers for Medicare & Medicaid Services (CMS). Other responsibilities include working suspect reports to identify unreported diagnosis codes and conducting...Immediate startFlexible hours
Bham-Corporate Office
Birmingham, AL3 days ago $91.7k - $163.7k
...difference? Join us to start Caring. Connecting. Growing together.The Medicare Advantage (MA) Product Capabilities team provides management,... ...Medicare Advantage product data is needed.The Sr Product Data Analyst is a business-facing position that will specialize in managing...Minimum wageFull timeWork experience placementWork at officeLocal areaRemote work- ...Job Title Conducts second level non-medical Medicare appeals decisions, including review of appeal cases dismissed by the level 1 contractor. Job Description *This position is located Remote United States* *This position requires rotating weekends and holidays...Full timeContract workTemporary workPart timeFor contractorsWork at officeRemote work
- ...A leading pharmacy operations firm is seeking a Senior Pharmacy Operations Analyst to support Medicare initiatives. This remote role emphasizes compliance, accurate member communications, and operational responsiveness. The ideal candidate should have strong analytical...Remote work
Select Source International
New York, NY4 days ago - ...Reconciliation Analyst This position is temporary/seasonal through April 2027. The schedule is M-F, 8am-4:30pm EST. Medicare Advantage experience would be helpful along with knowledge of Medicare rules and regulations, specifically around Enrollment and/or sales....Temporary workSeasonal workLocal areaRelocation package
$33.88 - $42.35 per hour
...diagnoses based coding information as it pertains to CMS Hierarchical Condition Categories (HCC). Participates in and supports the Medicare Risk Adjustment team-based environment to educate providers on coding compliance and consistency. Supports the creation,...Contract workWork experience placementFlexible hoursVNS Health
Brooklyn, NY1 day ago
